FORM 1023-EZ for LIFE OPTIONS NETWORK

Field Data
EIN 82-4813406
Case Number EO-2018155-000318
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE OPTIONS NETWORK
Organization’s Mailing Address 10911 NE 104TH ST
City VANCOUVER
State WA
ZIP 98662
Accounting period End 12
Primary contact name JENNIFER HOFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER HOFFMAN
BOARD CHAIR
10911 NORTHEAST 104TH STREET
VANCOUVER WA 98662

Officer/Director/Trustee Two

CATHRYN BRINKMAN
BOARD MEMBER
16859 SE GURNEE
GLADSTONE OR 97027

Officer/Director/Trustee Three

TAMICKA CLINKSCALES-FELLOWS
BOARD CHAIR
312 NE 1ST AVE NUMBER 201
BATTLEGROUND WA 98604

Officer/Director/Trustee Four

AMANDA VOGEL
BOARD SECRETARY
2544 NW SAVIER APT A
PORTLAND OR 97210

Organization’s website
Organization’s email LIFEOPTIONSNETWORKNW@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER HOFFMAN
Signature Title BOARD CHAIR
Signature Date 6/1/18

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